Although U.S. retail sales of herbal supplements reach into the billions each year, very little of these profits are from the sale of Chinese or East Asian herbs. This is due to the perception of quality—as such herbal medicine providers must show that their herbs are trustworthy.
To aid in this change, the NCCAOM Chinese Herbal Safe Compounding and Dispensing Taskforce has created a voluntary program, the Certificate of Qualification.
The course subject matter will be based on the FDA cGMP and the American Herbal Products Association (AHPA) herbal safety white paper, which was released last year. Features of this new program include the following:
Tracking sources and lot numbers for all granule and raw herbs. (According to FDA cGMPs, individual practitioners are personally liable for herbal prescriptions. One should know where their herbs come from and the quality control taken by the suppliers.)
Ensuring that AOM practitioners fully understand the FDA, cGMP regulations and best practice standards to avoid any potential adverse effects and harm to patients.
Proper labeling of all custom formulas: all ingredients and amount per dose, patient and practitioner name, herb compounding date.
The objective in creating this Certificate of Qualification program is to garner the public's support of the AOM professional, and to demonstrate accountability and responsibility for patient safety.
The NCCAOM provides additional details regarding this new program in our upcoming June issue.
Fertility acupuncture sometimes gets presented as a narrow protocol: a handful of reproductive points applied uniformly across patients. What this case reinforced for me: The most powerful work happens when we read the whole picture. The hormone data, the constitutional tendency, the sleep, the digestion, and the menstrual pattern, so we can treat the environment the ovaries live inside.
Mast cell activation syndrome (MCAS) affects more than 15% of the U.S. population but evades most practitioners’ radar. Just five years ago, it wasn’t even on my radar, despite already having 20 years of experience as a clinician at that time. The more I dug (similar to leaky gut and post-COVID syndrome), the more I found my patients were suffering from this disorder.
The motivation behind our practice of medicine is important, impacting not just our experience but also the experiences of those we treat. It is perhaps for this reason that the aspiration to help not just some, but all beings heal, has historically been an important part of the medical tradition. To explain this, we need to consider how medicine is interwoven with other social domains.